Overnight Trip Bus Permission Slip

Student Information

Student Name

Grade

Parent/Guardian Name

Emergency Contact Number

Trip Details

Destination

Departure Date

Return Date

Medical Information

Relevant Medical Conditions / Allergies Medications (if any)

Permission Statement

I hereby give permission for my child to ride the bus and participate in the above overnight trip. I further agree to the conditions and regulations as set forth by the school.

Parent/Guardian Signature

Date